ABSTRACT
The analysis of clinical and laboratory material in patients, suffering extended peritonitis,was conducted. There was established, that application of the sorption-transmembranous dialysis and abdominal cavity sanation guarantees the CD3 lymphocytes protection and the endotoxicosis severity reduction.
Subject(s)
Lymphocytes/immunology , Peritoneal Dialysis , Peritonitis/therapy , Sorption Detoxification , Abdominal Cavity/pathology , Abdominal Cavity/surgery , CD3 Complex/immunology , Drainage , Duodenal Ulcer/complications , Duodenal Ulcer/pathology , Humans , Lymphocyte Count , Lymphocytes/pathology , Peptic Ulcer Perforation/complications , Peptic Ulcer Perforation/pathology , Peritonitis/etiology , Peritonitis/immunology , Peritonitis/surgery , Severity of Illness Index , Stomach Ulcer/complications , Stomach Ulcer/pathologyABSTRACT
The results of diagnosis and treatment of 31 patients, suffering abdominal sepsis of various origin, are analyzed. There was elaborated algorithm of postoperative treatment ot the patients. Depending on peculiarities of postoperative tactic of treatment, all the patients were divided into two groups. In 12 patients of the main group in a complex of treatment intraabdominal transmembranic dialysis with a sorption therapy was applied. In 19 patients of a comparative group a transmembranic dialysis was not used. Realization of the elaborated surgical tactic of rational and staged application of intraabdominal sorption-transmembranic dialysis, using Sylics, have permitted to reduce a postoperative complications rate down to 25%, postoperative lethality--to 16.6%.
